Anejaculation

Anejaculation is the absence of a man’s ejaculate which in turn compromises his fertility as there is no semen to transport the sperm into the female genital tract.

Sperm recovery through epididymis aspiration or testicular biopsy is the best fertility treatment to achieve pregnancy in patients suffering from anejaculation given its high success rates.

Although the number of retrieved sperm is usually relatively low, it is possible to combine these techniques with intracytoplasmic sperm (ICSI) as this technique requires only one good quality sperm to fertilize every egg.

What is anejaculation?

Anejaculation is a man’s ejaculation absence and is classified as:

Situational anejaculation

The patient ejaculates normally in some situations but not in others.

Complete anejaculation

The patient is unable to ejaculate while he is awake.

In complete anorgasmic anejaculation the patient cannot ejaculate because he cannot achieve an orgasm. This condition causes infertility as there is no semen to transport the sperm into the woman’s uterus.

Anejaculation causes

Situational anejaculation and complete anorgasmic anejaculation usually occur due to psychological factors; however, complete orgasmic anejaculation can be caused by:

  • Diabetes
  • Prostatic hyperplasia (or abnormal prostate growth)
  • Prostatitis (or prostate swelling)
  • Abdominal surgery
  • Urological surgeries such as prostatectomies
  • Ejaculatory ducts obstruction
  • Neurological disorders
  • Parkinson disease
  • Multiple sclerosis
  • Spinal cord injury
  • Antidepressant medication use (such as fluoxetine)
  • Oncological (cancer) treatments such as chemotherapy and radiotherapy

Another common cause of complete orgasmic anejaculation is retrograde ejaculation in which semen enters the bladder (and sperm mixes with urine) during orgasm instead of going out through the penis.

How are the causes of anejaculation diagnosed?

The more information you can provide our specialists about your medical history, the better they will be able to identify the anejaculation causes.

In addition to a physical examination for evidence of other diseases, your doctor may perform a post-orgasmic urine analysis. If sperm are found in the urine the retrograde ejaculation diagnosis is confirmed.

Treatments to achieve pregnancy in patients suffering from anejaculation

Knowing the causes of anejaculation is critical when it comes to selecting a fertility treatment that helps to achieve pregnancy with minimal wear.

If anejaculation is caused by medications, the specialist will ask you to suspend their use and help you find other options. On the other hand, if there is an underlying medical condition, a fertility treatment is the best option to solve the anejaculation problem.

If you decide to go through a fertility treatment, Sperm recovery through epididymis aspiration or testicular biopsy is the best option to achieve pregnancy given its high success rates.

It is important to mention that in retrograde ejaculation patients it is also possible to recover sperms directly from post-ejaculatory urine to use them in assisted reproduction treatments.

Although the number of retrieved sperm is usually relatively low, it is possible to combine these techniques with intracytoplasmic sperm (ICSI) as this technique requires only one good quality sperm to fertilize every egg.

We are convinced that decreased stress levels can improve our patient’s immunitary and reproductive functions, improving the likelihood of achieving a successful pregnancy.

At Ingenes’ emotional support unit we take good care of our patients from their first check-up to support them throughout their journey to become parents. With our diagnosis fertility program you will also know the cause to your fertility problems and the proper treatment from your first visit.